SRIVIJI SENTHIL KUMARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

SRIVIJI

Last Name

SENTHIL KUMARAN

Business Name

SRIVIJI SENTHIL KUMARAN MD

Original Issue Date

05/13/2022

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023